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BAHAR EMILY ESMAILI D.O.
NPI 1205003274
Pediatrics in Durham, NC

Active since May 09, 2008PECOS Enrolled
1301 FAYETTEVILLE ST, DURHAM, NC 27707(919) 956-4000 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2022, Jan 13, 2016 (2 updates tracked since 2016).

About Bahar Emily Esmaili D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAHAR EMILY ESMAILI D.O. (NPI 1205003274) is an individual pediatrics provider in Durham, North Carolina, licensed in North Carolina (2015-01817) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205003274
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBAHAR EMILY ESMAILICredential: D.O.
Location Address1301 FAYETTEVILLE STDurham, NC 27707-2325
Mailing Address1301 Fayetteville StDurham, NC 27707-2325 · (919) 956-4000 · Fax (919) 667-2322
Phone(919) 956-4000
Sole ProprietorNo
Enumeration DateMay 9, 2008
Last NPPES UpdateSeptember 14, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1205003274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2015-01817
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1301 FAYETTEVILLE ST, Durham, NC 27707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bahar Emily Esmaili D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bahar Esmaili reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lincoln Community Health Center Incorporated
Same address
Federally Qualified Health Center (FQHC)
1301 FAYETTEVILLE ST
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
  • 66 clinicians in this Medicare group
NPI 1114978582 (919) 956-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZHONGFEI LIANG DDS
Dentist (General Practice)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4034
VERONICA ACEVEDO PA-C
Physician Assistant
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
TIFFANY A THIEKEN
Nurse Practitioner (Pediatrics)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
ANDREA FLORES MD
Family Medicine
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
RAJEEV KUMAR BAIS M.D.
Internal Medicine
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
DR. JULIANA MILLER HODGES DNP, RN, CPNP-PC
Nurse Practitioner (Pediatrics)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4074
ERICA C FRIEDMAN PAC
Physician Assistant
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
NEYSA S HEYWARD M.D.
Pediatrics
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bahar Esmaili's NPI number?

The NPI number for Bahar Esmaili is 1205003274. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Bahar Esmaili located?

Bahar Esmaili practices at 1301 Fayetteville St, Durham, NC 27707. The listed phone number is (919) 956-4000.

What is Bahar Esmaili's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bahar Esmaili enrolled in Medicare?

Yes. Bahar Esmaili is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bahar Esmaili's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bahar Esmaili reassigns Medicare benefits to Lincoln Community Health Center Incorporated (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bahar Esmaili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bahar Esmaili accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Bahar Esmaili as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bahar Esmaili was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.